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伴有急性重度主动脉瓣反流的高安动脉炎需行生物Bentall手术

Takayasu's Arteritis With Acute Severe Aortic Regurgitation Requiring a Bio-Bentall Procedure.

作者信息

Jules Polsha, Valencia Oscar, Valencia Damian, Reddy Ananya, Ahmed Rehan

机构信息

Department of Internal Medicine, Kettering Health Network, Dayton, USA.

Department of Internal Medicine, Loyola University Chicago, Chicago, USA.

出版信息

Cureus. 2022 Jul 18;14(7):e26969. doi: 10.7759/cureus.26969. eCollection 2022 Jul.

Abstract

Aortitis is a rare form of vasculitis that is associated with significant morbidity and mortality through the development of aneurysms, aortic rupture, dissection, and thrombotic occlusions. Common causes for non-infectious large vessel vasculitis include Takayasu's arteritis and giant cell arteritis. Delayed diagnosis and treatment can be devastating, resulting in lifelong disability or death. Here we present an unfortunate case of Takayasu's arteritis with aortitis and acute severe aortic regurgitation in a young patient requiring an emergent Bio-Bentall procedure and bowel resection.

摘要

主动脉炎是一种罕见的血管炎形式,通过动脉瘤、主动脉破裂、夹层分离和血栓闭塞的发展,会导致显著的发病率和死亡率。非感染性大血管血管炎的常见病因包括高安动脉炎和巨细胞动脉炎。诊断和治疗延迟可能是灾难性的,会导致终身残疾或死亡。在此,我们展示了一例不幸的高安动脉炎合并主动脉炎及急性重度主动脉瓣关闭不全的年轻患者病例,该患者需要紧急进行生物带瓣 Bentall 手术和肠切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b7b/9381860/f6859d3d6dfd/cureus-0014-00000026969-i01.jpg

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